Evidence-Based Project, Part 3: Advanced Levels of Clinical Inquiry and Systematic Review IssueIs hand hygiene education more effective than the current practice of using alcohol hand sanitizer before and after every patient contact. Problem/PopulationOutpatient nurses suffer skin irritation due to frequent use of hand sanitizer Search Wordshand hygiene education alcohol-based hand sanitizer, soap and water, Search EnginesCINAHL CompleteNHS evidenceNursing Reference Center PlusMEDLINE via PubMed Articles FoundPickering, A. J., Davis, J., & Boehm, A. B. (2011). Efficacy of alcohol-based hand sanitizer on hands soiled with dirt and cooking oil. Journal of water and health, 9(3), 429-433. https://www.researchgate.net/publication/51696259_Efficacy_of_alcohol-based_hand_sanitizer_on_hands_soiled_with_dirt_and_cooking_oil (level II evidence)Truitt, C., & Goldwater, W. (2018, November). 464. The Efficacy of Alcohol Based Wipes, Gel, Foam, and Spray Compared With Liquid Soap in Eliminating Transient Hand Bacteria. In Open Forum Infectious Diseases (Vol. 5, No. Suppl 1, p. S174). Oxford University Press. (level II evidence) Articles FoundPourkazemi, A., Mojtahedi, A., Kazemi, S., & Asgari, M. (2020). Efficacy of Hand rubbing with alcohol based solution versus standard hand washing with soap and water in a Tertiary care Hospital in The North Iran. Research Journal of Pharmacy and Technology, 13(4), 1615-1618. (level II evidence)Foddai, A. C., Grant, I. R., & Dean, M. (2016). Efficacy